Active NPI
Blessed Homes Jamestown ND
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Jamestown, ND
National Provider Identifier
1013764539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- BLESSED HOMES JAMESTOWN ND
- Practice address
- 924 4TH Ave NE
Jamestown, ND 58401-3224 - Phone
- (701) 368-4322
- NPI assigned
- May 2, 2024
- Last updated
- May 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Blessing George, MD
- Title
- Program Coordinator
- Phone
- (701) 979-2645
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
924 4TH Ave NE
Jamestown, ND 58401-3224
Mailing address
733 5TH St NE
Jamestown, ND 58401-3447
Phone (540) 256-3684
National Provider Directory
National Provider Directory- Tax ID family
- Blessed Homes Jamestown ND
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Foster Care Agency
- Jamestown, ND
- NPI 1326780693
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Jamestown, ND
- NPI 1952042533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714608000000",
"number": "1013764539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "733 5TH ST NE",
"city": "JAMESTOWN",
"state": "ND",
"postal_code": "584013447",
"telephone_number": "540-256-3684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "924 4TH AVE NE",
"city": "JAMESTOWN",
"state": "ND",
"postal_code": "584013224",
"telephone_number": "701-368-4322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLESSED HOMES JAMESTOWN ND",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-02",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A",
"authorized_official_last_name": "GEORGE",
"authorized_official_first_name": "BLESSING",
"authorized_official_title_or_position": "PROGRAM COORDINATOR",
"authorized_official_telephone_number": "701-979-2645",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamestown, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.